Request counselling

For appointment inquiries and bookings, please complete the form below. For more information about our counselling, click here.

Kāpiti referrals are currently closed.

All other regions remain open.

Referral is for...

Myself

My child

A student

Someone I'm supporting

Your details:

First name

Last name

Phone

Their details:

Their name

Date of birth

Gender

Ethnicity

Address

Secondary contact:

Please provide details for somebody else in case of emergencies.

Name

Address

Context

Description of the situation and reason for counselling, including physical, emotional and psychological impacts present

Do the symptoms relate to a mental health condition?

Yes

Please provide details (formally diagnosed, recommended treatment - completed, abandoned or ongoing – etc)

Do the symptoms relate to past traumatic experiences?

Yes

If yes, please provide details (since when, protective factors and triggers, past engagement with support due to this and what happened - completed, abandoned or ongoing – etc)

Is the person wanting counselling presenting with increased risk of suicide?

Yes

Please provide details (suicidal ideation, suicidal attempts, support network, safety plan)

Special requirements of the person wanting counselling e.g., gender of counsellor, location for counselling, diverse needs (cultural – Māori, Pasifika, immigrant; LGBTQ+)

Skylight offers therapy across four locations in Wellington, Porirua, Hutt Valley and Kapiti. Please specify which location you prefer:

Skylight offers music therapy, creative arts therapy and talk therapy. Please choose which therapies suit your needs best.

No preference (first available counsellor)

Music Therapy

Creative Arts Therapy

Talk Therapy

Funding type

If finances are a barrier for you, let us know when you book and we will discuss options with you.

Would you be open to working with a student counsellor?

Yes

Our student counsellors are in the final stages of their training and work under professional supervision. Sessions are available at $45 (incl GST) per session. Many clients find this a rewarding and supportive experience. If you would like to make a donation, please see "donate now" on our front page.

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By completing this form, you consent to Skylight Trust collecting your contact details and using them to get in touch with you about the services we provide and to share relevant updates from Skylight. You can ask us to stop contacting you at any time. We take our role as kaitiaki of your personal information seriously. If you have any questions or concerns about how your information is handled, or if you would like to access or correct your information, please contact our Privacy Officer at [email protected].

Other help

Request a support pack

We can provide support packs for specific situations – just ask us for what you need.

Support groups

Skylight recognises the therapeutic value of support groups. We offer a variety of support groups for people facing tough times.

Other organisations

There are a number of other great organisations that offer specialist support and information services for children, young people and their whānau.